Ohel Leah Synagogue 70 Robinson Road, Mid-Levels, Hong Kong.
Telephone: (852) 2589-2621
Email Address: [email protected] A/C No.
I/We hereby apply for membership of the Ohel Leah Synagogue. If accepted, I/we agree to abide by and conform to its constitution and by laws existing from time to time. Furthermore, I/we undertake to pay all dues when called to do so in accordance with the regulations in force at the time.
I/We wish to apply for:
COUPLE/FAMILY -- HK6500 per annum (to include children 18 years or younger of any marital status and unmarried children 21 years of age or younger)
SINGLE -- HK$3900 per annum
NON-RESIDENT (A person not resident in Hong Kong) -- HK$1800 per annum
YOUNG PROFESSIONAL (Under 30) -- HK$1500 per annum
Proposer (Signed ) Seconder (Signed )
Family Name
Home Address
Home Tel No.
Applicant Spouse
Given Name
Nationality
Date of Birth (DD/MM/YY) (DD/MM/YY)
Hebrew Name
Father’s Hebrew Name
Maiden Name
Occupation
Firm Name
Business Address
Business Tel No.
Mobile No.
Email Address
Indicate: Cohen Levi Israel
Indicate: I can / cannot read a haftorah
Date of Marriage (if applicable) (DD/MM/YY)
Children
Name Hebrew Name Date of Birth (DD/MM/YY) M/F
Yahrzeit
Name of Departed Relationship Date (DD/MM/YY) Hebrew Name of Departed & Father
Signature of Applicant Date (DD/MM/YY)
* Please complete this application form and return it together with the followings:
1) A copy of the Ketubah, or any other form of proof of Jewish background. (No ritual privileges until all supporting documents are received.) 2) One photograph. 3) Copy of passport. 4) Payment of membership subscription fee.
FOR OFFICE USE ONLY Form Received Date
Documents enclosed:
Payment Photos Ketubah
Approved by:
Rabbi Date
Synagogue Council Date
Ohel Leah Synagogue 70 Robinson Road, Mid-Levels, Hong Kong. Telephone: (852) 2589-2621 Email Address: [email protected]
Additional Information for Membership
In order to process your application it is necessary to ask you some personal questions. Please be assured that this information will be treated in the strictest confidence and will be held by the Rabbi only. If you would prefer you can send these details under separate cover directly to the Rabbi.
Applicant Spouse
Name
Religion
Details of Conversion (if applicable)
Name of Mother
Religion of Mother
Details of Conversion (if applicable)
Name of Father
Religion of Father
Details of Conversion (if applicable)
If Married:
Name of Rabbi who performed the ceremony
Name of Congregation
Address of Synagogue
Signature of Applicant
Date / / day month year